Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 46959 | AZ |
N | 2080P0214X | Pediatric Pulmonologist | MD00030546 | WA |
NPI | 1144310038 |
---|---|
Provider Name | Edward R Carter |
First Address | Phoenix, AZ 85016-8034 |
Second Address | Phoenix, AZ 85008-4948 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
206410 | INTERNAL ID-MOTOR VEHICLE ID (01) | |
8212698 | (05) | WA |
E58312 | (02) |